Individual provider Active NPI

Joseph M. Serpe, DC

  • Chiropractor
  • Naperville, IL
National Provider Identifier
1104842749
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
651 Amersale Dr
Suite 109
Naperville, IL 60563-2587
Phone
(630) 357-2299
Fax
(630) 357-0204
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

651 Amersale Dr
Suite 109
Naperville, IL 60563-2587

Mailing address

651 Amersale Dr
Suite 109
Naperville, IL 60563-2587
Phone (630) 357-2299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-007211ILMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1104842749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 AMERSALE DR",
            "address_2": "SUITE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632587",
            "telephone_number": "630-357-2299",
            "fax_number": "630-357-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 AMERSALE DR",
            "address_2": "SUITE 109",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632587",
            "telephone_number": "630-357-2299",
            "fax_number": "630-357-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERPE",
        "first_name": "JOSEPH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.